2 Major developments that have a significant effect on food safetyChanges in the nature and concentration of hazards in foodChanges in the controls used to ensure that food is safe to eatA shift of the primary responsibility for food safety to industryChanges in consumer habits.Mackenzie et al, 2004

3 Epidemiologic surveillance of Fooodborne illnessNeeds:Modes of transmission and risk of foodborne diseaseFocus on policies and strategies for prevention and controlIdentify priorities for interventions, particularly at the local levelEvaluate the impact of food safety intervention programs

8 FBI Surveillance in Latin AmericaLow coverage in general and in particular for FBILow sensibility in detection and investigation of outbreaksProblems with data analysis and information management

9 INFORMATION SYSTEM FOR EPIDEMIOLOGICAL SURVEILLANCE OF FOODBORNE DISEASES – SIRVETA1995 – 20026930 reports of FBI outbreaks from 22 countries in the region.Food items most commonly associated with the reported outbreaks were fish (22%), water (20%) and red meats (14%).

15 Adequate surveillance requiresPolitical decision and implementation techniquesIntegrate FBD within the National Surveillance ProgramsCoordinated participation with the labContinuous trainingAppropriate Resources

16 Adequate SurveillanceCapability for detection of outbreaks and casesCapability to identify agentIdentify place in the food chain where contamination occuredIdentify associated risk factorsDefine risk scenarios

18 General levelNetworking to improve national capacities in surveillance and laboratory confirmationTrainingStandardizationQuality assuranceScientific support

19 The Inter-American Network of Food Analysis Laboratories - INFAL54 laboratories from 28 countriesAchieve equivalence in methods and quality management systems for food analysis laboratoriesRegarding FBD surveillance, INFAL is promotes the integration of the official laboratories dealing with analysis of foodstuffs into programs of food safety and epidemiological surveillance.Inter-American Network of Food Analysis Laboratories (INFAL)

20 WHO-GLOBAL SALM SURV All countries of the Region General objectiveStrengthen the capability of the participating countries in the surveillance and response systems and to contribute to the global effort of containment of antimicrobial resistance of foodborne pathogens.